﻿@model KRM.Core.tblPersonal
<div id="msg-frAddNexOfKin"></div>
    <form action="/NextOfKin/AddNextOfKin" method="POST" class="form-horizontal margin0" id="frAddNexOfKin">
        <input type="hidden" value="@Model.Id" name="PersonalId"/>
        <div class="form-body">
            <div class="row">
                <div class="col-md-6">
                    <div class="form-group">
                        <label class="control-label col-md-4">Full Name<span class="required">*</span></label>
                        <div class="col-md-8">
                            <input type="text" name="FullName"class="form-control" value="" required="required">
                        </div>
                    </div>
                </div>
                <div class="col-md-6">
                    <div class="form-group">
                        <label class="control-label col-md-4">Address<span class="required">*</span></label>
                        <div class="col-md-8">
                            <input type="text" name="Address"class="form-control" value="" required="required">   
                        </div>
                    </div>
                </div>
            </div>
            <div class="row">
                <div class="col-md-6">
                    <div class="form-group">
                        <label class="control-label col-md-4">Relationship To Employee<span class="required">*</span></label>
                        <div class="col-md-8">
                            <input type="text" name="RelationshipToEmployee"class="form-control" value="" required="required">
                        </div>
                    </div>
                </div>
                <div class="col-md-6">
                    <div class="form-group">
                        <label class="control-label col-md-4">Mobile Phone<span class="required">*</span></label>
                        <div class="col-md-8">
                            <input type="text" name="MobileTelephoneNumber"class="form-control" value="" required="required">   
                        </div>
                    </div>
                </div>
                </div>
                <div class="row">
                    <div class="col-md-6">
                        <div class="form-group">
                            <label class="control-label col-md-4">Home Phone<span class="required">*</span></label>
                            <div class="col-md-8">
                                <input type="text" name="HomeTelephoneNumber"class="form-control" value="" required="required">
                            </div>
                        </div>
                    </div>
                    <div class="col-md-6">
                        <div class="form-group">
                            <label class="control-label col-md-4">Work Phone<span class="required">*</span></label>
                            <div class="col-md-8">
                                <input type="text" name="WorkTelephoneNumber"class="form-control" value="" required="required">   
                            </div>
                        </div>
                    </div>
                </div>  <div class="row">
                            <div class="col-md-6">
                                <div class="form-group">
                                    <label class="control-label col-md-4">Work Address<span class="required">*</span></label>
                                    <div class="col-md-8">
                                        <input type="text" name="WorkAddress"class="form-control" value="" required="required">
                                    </div>
                                </div>
                            </div>
                            <div class="col-md-6">
                                <div class="form-group">
                                    <div class="col-md-12">
                                       
                                        <button type="submit" class="btn btn green"><i class="icon-plus"></i> Add</button>
                                        <button type="reset" class="btn btn-default">Reset</button>
                                    </div>
                                </div>
                            </div>
                        </div>
        </div>
    </form>

